| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.09 | $73.75 | $100.55 | |
Ambetter
| Professional | $75.56 | $75.56 | $75.56 | |
BCBS
| Facility | $22.38 | $83.58 | $146.44 | |
BCBS
| Professional | $42.82 | $62.29 | $77.86 | |
Cigna
| Professional | $63.32 | $85.21 | $142.13 | |
Medica
| Facility | $56.33 | $71.09 | $124.34 | |
Medica
| Professional | $74.70 | $107.47 | $512.83 | |
United
| Professional | $74.70 | $86.76 | $161.47 |